Provider Demographics
NPI:1043418262
Name:HSU, JUSTINA (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JUSTINA
Middle Name:
Last Name:HSU
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 COMMONWEALTH AVE
Mailing Address - Street 2:APT 3E
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-2611
Mailing Address - Country:US
Mailing Address - Phone:719-660-5516
Mailing Address - Fax:
Practice Address - Street 1:534 COMMONWEALTH AVE
Practice Address - Street 2:APT 3E
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-2611
Practice Address - Country:US
Practice Address - Phone:719-660-5516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8847225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation